Healthcare Provider Details

I. General information

NPI: 1568464899
Provider Name (Legal Business Name): ANNE LOUISE WALTERS CNM MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE SUITE 130
ENGLEWOOD CO
80113-2736
US

IV. Provider business mailing address

701 E HAMPDEN AVE SUITE 130
ENGLEWOOD CO
80113-2736
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-5299
  • Fax: 303-781-5809
Mailing address:
  • Phone: 303-781-5299
  • Fax: 303-781-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number128551
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: